Healthcare Provider Details
I. General information
NPI: 1811275332
Provider Name (Legal Business Name): STEVE HUDGINS LPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/01/2011
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3104 S ELM PL STE G
BROKEN ARROW OK
74012-7949
US
IV. Provider business mailing address
3104 S ELM PL STE G
BROKEN ARROW OK
74012-7949
US
V. Phone/Fax
- Phone: 918-760-7622
- Fax:
- Phone: 918-760-7622
- Fax: 918-513-7433
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 7135 |
| License Number State | OK |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 7135 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: